World journal of gastroenterology : WJG
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World J. Gastroenterol. · Sep 2013
Extracorporeal continuous portal diversion plus temporal plasmapheresis for "small-for-size" syndrome.
To investigate the effect of plasmapheresis via the portal vein for "small-for-size" syndrome (SFSS) aided by extracorporeal continuous portal diversion (ECPD). ⋯ PP plus ECPD via the portal vein can attenuate toxic load and hyperperfusion injury, and should be undertaken instead of PP via the systemic circulation in SFSS or PLF.
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World J. Gastroenterol. · Aug 2013
Impact of mesocaval shunt on safe minimal liver remnant: porcine model.
To investigate the capacity of shunts to relieve portal hypertension and decrease the safe minimal liver remnant in pigs. ⋯ MCS can decompress the portal vein and so attenuate liver injury from hyperperfusion, and make extreme or marginal hepatectomy safer.
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World J. Gastroenterol. · Aug 2013
Case ReportsAnticoagulation and delayed bowel resection in the management of mesenteric venous thrombosis.
Acute mesenteric venous thrombosis is potentially lethal because it can result in mesenteric ischemia and, ultimately, bowel infarction requiring surgical intervention. Systemic anticoagulation for the prevention of thrombus propagation is a well-recognized treatment modality and the current mainstay therapy for patients with acute mesenteric venous thrombosis. However, the decision between prompt surgical exploration vs conservative treatment with anticoagulation is somewhat difficult in patients with suspected bowel ischemia. Here we describe a patient with acute mesenteric venous thrombosis who presented with bowel ischemia and was treated with anticoagulation and delayed short-segment bowel resection.
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World J. Gastroenterol. · Aug 2013
Randomized Controlled TrialMilligan-Morgan hemorrhoidectomy with anal cushion suspension and partial internal sphincter resection for circumferential mixed hemorrhoids.
To identify a more effective treatment protocol for circumferential mixed hemorrhoids. ⋯ Milligan-Morgan hemorrhoidectomy with anal cushion suspension and partial internal sphincter resection is the optimal treatment for circumferential mixed hemorrhoids and can be widely applied in clinical settings.
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World J. Gastroenterol. · Aug 2013
Randomized Controlled TrialStepwise sedation for elderly patients with mild/moderate COPD during upper gastrointestinal endoscopy.
To investigate stepwise sedation for elderly patients with mild/moderate chronic obstructive pulmonary disease (COPD) during upper gastrointestinal (GI) endoscopy. ⋯ The stepwise sedation method is effective and safer than the continuous sedation method for elderly patients with mild/moderate COPD during upper GI endoscopy.